NPIMap

Individual provider Active NPI

Jawed M Movania, M.D.

  • Internal Medicine Physician
  • Radcliff, KY
National Provider Identifier
1447258553
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31578 Issued in KY
Practice address
700 W Lincoln Trail Blvd
Radcliff, KY 40160-2604
Phone
(270) 351-3192
Fax
(270) 351-5499
NPI assigned
Jul 12, 2005
Last updated
Apr 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31578 KY Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 31578 KY

Addresses

Primary practice location

700 W Lincoln Trail Blvd
Radcliff, KY 40160-2604

Mailing address

1321 Ring Rd
Ste 105
Elizabethtown, KY 42701-8940
Phone (270) 986-7373

Other identifiers 1

IdentifierTypeStateIssuer
64315781MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118000170 KY Practitioner - Internal Medicine 2860437308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Medical Associates PLLCGroup PAC ID 7012226301, 12 clinicians

Practice addresses (Care Compare)

700 W Lincoln Trail Blvd
Radcliff, KY 40160-2604
Phone (270) 351-3192

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions22
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31578KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jawed.movania.1@15287.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1447258553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 RING RD",
            "address_2": "STE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018940",
            "telephone_number": "270-986-7373",
            "fax_number": "270-351-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602604",
            "telephone_number": "270-351-3192",
            "fax_number": "270-351-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVANIA",
        "first_name": "JAWED",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31578",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "KY",
            "license": "31578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64315781",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

Verify at the official NPI Registry.